Maternity Test Bank Exam 1 QUESTIONS & ANSWERS 2024
Chapter 13: Labor and Birth Processes
1. A new mother asks the nurse when the soft spot on her sons head will go away. The nurses answer is based on the knowledge that the anterior fontanel closes after birth by _____ months.
a. 2 c. 12
b. 8 d...
Maternity Test Bank Exam 1 with 100% verified
correct Answers
1). Chapter 13: labor and birth processes
Ans:
2). 1. a new mother asks the nurse when the soft spot on her sons head will go away. the
nurses answer is based on the knowledge that the anterior fontanel closes after birth by
_____ months.
a. 2 c. 12
b. 8 d. 18
Ans: d. 18
3). 2. when assessing a woman in labor, the nurse is aware that the relationship of the fetal
body parts to one another is called fetal:
a. lie. c. attitude.
b. presentation. d. position.
Ans: c. Attitude.
4). 3. when assessing the fetus using leopold maneuvers, the nurse feels a round, firm,
movable fetal part in the fundal portion of the uterus and a long, smooth surface in the
mothers right side close to midline. what is the likely position of the fetus?
a. roa c. rsa
b. lsp d. loa
Ans: c. RSA
5). 4. the nurse has received report regarding her patient in labor. the womans last vaginal
examination was recorded as 3 cm, 30%, and ?2-2. the nurses interpretation of this
assessment is that:
a. the cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the
ischial spines.
b. the cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the
ischial spines.
c. the cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the
ischial spines.
PaperStoc.com Page 1 of 104
, d. the cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the
ischial spines.
Ans: b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm
above the ischial spines.
6). 5. to care for a laboring woman adequately, the nurse understands that the __________
stage of labor varies the most in length?
a. first c. third
b. second d. fourth
Ans: a. First
7). 6. the nurse would expect which maternal cardiovascular finding during labor?
a. increased cardiac output
b. decreased pulse rate
c. decreased white blood cell (wbc) count
d. decreased blood pressure
Ans: a. Increased cardiac output
8). 7. the factors that affect the process of labor and birth, known commonly as the five ps,
include all except:
a. passenger. c. powers.
b. passageway. d. pressure.
Ans: d. Pressure.
9). 8. the slight overlapping of cranial bones or shaping of the fetal head during labor is called:
a. lightening. c. ferguson reflex.
b. molding. d. valsalva maneuver.
Ans: b. Molding.
10). 9. which presentation is described accurately in terms of both presenting part and
frequency of occurrence?
a. cephalic: occiput; at least 95% c. shoulder: scapula; 10% to 15%
b. breech: sacrum; 10% to 15% d. cephalic: cranial; 80% to 85%
Ans: a. Cephalic: occiput; at least 95%
11).
PaperStoc.com Page 2 of 104
, 10. with regard to factors that affect how the fetus moves through the birth canal, nurses
should be aware that:
a. the fetal attitude describes the angle at which the fetus exits the uterus.
b. of the two primary fetal lies, the horizontal lie is that in which the long axis of the fetus is
parallel to the long axis of the mother.
c. the normal attitude of the fetus is called general flexion.
d. the transverse lie is preferred for vaginal birth.
Ans: c. The normal attitude of the fetus is called general flexion.
12). 11. as relates to fetal positioning during labor, nurses should be aware that:
a. position is a measure of the degree of descent of the presenting part of the fetus
through the birth canal.
b. birth is imminent when the presenting part is at +4 to +5 cm below the spine.
c. the largest transverse diameter of the presenting part is the suboccipitobregmatic
diameter.
d. engagement is the term used to describe the beginning of labor.
Ans: b. Birth is imminent when the presenting part is at +4 to +5 cm below the spine.
13). 12. which basic type of pelvis includes the correct description and percentage of
occurrence in women?
a. gynecoid: classic female; heart shaped; 75%
b. android: resembling the male; wider oval; 15%
c. anthropoid: resembling the ape; narrower; 10%
d. platypelloid: flattened, wide, shallow; 3%
Ans: d. Platypelloid: flattened, wide, shallow; 3%
14). 13. in relation to primary and secondary powers, the maternity nurse comprehends that:
a. primary powers are responsible for effacement and dilation of the cervix.
b. effacement generally is well ahead of dilation in women giving birth for the first time;
they are closer together in subsequent pregnancies.
c. scarring of the cervix caused by a previous infection or surgery may make the delivery a
bit more painful, but it should not slow or inhibit dilation.
d. pushing in the second stage of labor is more effective if the woman can breathe deeply
and control some of her involuntary needs to push, as the nurse directs.
Ans: a. Primary powers are responsible for effacement and dilation of the cervix
15). 14. while providing care to a patient in active labor, the nurse should instruct the woman
that:
a. the supine position commonly used in the united states increases blood flow.
PaperStoc.com Page 3 of 104
, b. the all fours position, on her hands and knees, is hard on her back.
c. frequent changes in position will help relieve her fatigue and increase her comfort.
d. in a sitting or squatting position, her abdominal muscles will have to work harder
Ans: c. Frequent changes in position will help relieve her fatigue and increase her
comfort.
16). 15. which description of the four stages of labor is correct for both definition and duration?
a. first stage: onset of regular uterine contractions to full dilation; less than 1 hour to 20
hours
b. second stage: full effacement to 4 to 5 cm; visible presenting part; 1 to 2 hours
c. third state: active pushing to birth; 20 minutes (multiparous women), 50 minutes (first-
timer)
d. fourth stage: delivery of the placenta to recovery; 30 minutes to 1 hour
Ans: a. First stage: onset of regular uterine contractions to full dilation; less than 1
hour to 20 hours
17). 16. with regard to the turns and other adjustments of the fetus during the birth process,
known as the mechanism of labor, nurses should be aware that:
a. the seven critical movements must progress in a more or less orderly sequence.
b. asynclitism sometimes is achieved by means of the leopold maneuver.
c. the effects of the forces determining descent are modified by the shape of the womans
pelvis and the size of the fetal head.
d. at birth the baby is said to achieve restitution (i.e., a return to the c-shape of the womb).
Ans: c. The effects of the forces determining descent are modified by the shape of the
womans pelvis and the size of the fetal head.
18). 17. in order to evaluate the condition of the patient accurately during labor, the nurse
should be aware that:
a. the womans blood pressure will increase during contractions and fall back to prelabor
normal between contractions.
b. use of the valsalva maneuver is encouraged during the second stage of labor to relieve
fetal hypoxia.
c. having the woman point her toes will reduce leg cramps.
d. the endogenous endorphins released during labor will raise the womans pain threshold
and produce sedation.
Ans: d. The endogenous endorphins released during labor will raise the womans pain
threshold and produce sedation.
19).
PaperStoc.com Page 4 of 104
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Academik001. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £13.78. You're not tied to anything after your purchase.
